10/24/2008 13:15 15205855427 FNB...

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10/24/2008 13:15 15205855427 FNB INrvlAN PAGE 02/22

KANSAS GOVERNMENTAL ETHICS COMMISSION

RECEIPTS AND EXPENDITURES REPORT RECEIVED OF A CANDIDATE FOR STATE OFFICE

OCT 242008 October 27, 2008 C(8{b" " ,

, Fiirl1nSntaJ Ethics CotnnLiamm FILE WITH SECRETARY OF STATE AND CANDIDATE~S COUNTY ELECTION OFPICEK

SEE REVERSE SIDE FOR INSTRUCTIONS

A, Name of Candidate: _R_ut_h_T_e_ic_h_m_a_n~ ~ _

Address: 434 East Old Highway 50

City and Zip COdc:_S_ta_f_fo_rd_6_7_57_8 _ County: Stafford _

33Office Sought: Senate J)istrict: __

B, Check only if appropriate: __ Amended Filing __ Termination Report

C. Sumrnary (covering the period from July 25,2008 through October 23; 2008)

38,024.54I, Cash on hand at beginning of period ; "., " .

2. Total Contributions and Other Receipts (Use Schedule A) ."" " . 38,476.21

76,500.753. Cash available this period (Add Lines 1 and 2) " " .. " "" ..

45,623.574. Total Expenditures and Other Disburseroents (Use Schedule C) .

30,877.185. Cash on hand at close of period (Subtract Line 4 from 3) ..

6. ·h1"l(ind Contribut,ions (Use Schedule B) 1,743.64

7 Other Transactions (Use Schedule D) .00

D. ';1 declare that this report, including any accompanyi.ng schedules and statements, has been examined by me cmd to the best of my knowledge and belief is tme, correct and complete. I understand that the intentional failure to file this dOclJment or intentionally filing a false docUlnent is a ela.ss A misdemeanor."

10-24-08 ~~~~ Dme Signatu e of Candl ate or Treasurer

GEe Form Rev, 2001

FNB INHAN PAGE 03/2210/24/2008 13:15 15205855427

SCHEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Ruth Teichman

(Name ofCancticiatc)

Occupation & Indu.lt.-y of Cheek Amount, of N:lme 'Inc] Add.·css lncJlvJdunl Giving More Appropriate Box Cash. Ch~c.I(,

Dnte of Contributor Th:1n $1 SO Loan or

Othel' Receipt

Jeanette Stucky 7/28/08 4941 NE 10th $100.00

Kingman, KS 67068

Amy Keeny spouse banker/banking 7/28/08 1108 W Eureka industry $250.00

Kingman, KS 67068

Scott Cartsr 7/28/08 1123 N, Chariton $50,00

Kingman, KS 67068

Kanza Bank Bank/banking Industry 7/28/08 $250.00

Kingman, KS 67068

Mike Allison 7/28/08

151 N Main

$50.00 Suite 1A Great Bend. KS 67530

Timothy Keenan 7/28/08

1037 Sheridan Street

$50,00 Gre<lt Bend, KS 67530

KBresa Harrison 4700 Quail Cr00!<

2330 Cleveland

$100.007-28-08 Great Bend, KS 67530

W.R. Robbins 7/28/03 $100,00

Great Bend, KS 67530

Arlene Mingenback

2703 McKinley {

. 7/28/08 6020 Broadway $50.00 Great Bend. KS 67530

Leslie Mingenback $50,00


Jean Rumble 7/28/08

7/28/08 6020 Broadway

$100.00 Great Bend, KS 67530 3910 Lakin {

I

/2210/24/2008 13:15 15205855427

SClJEDULE A CONTRIBUTIONS AND OTHER RECEIPTS

Ruth Teichman

(Name ofCandidntc)

Occupation & Industry of Check A.molilit nr Nllmc snd Address IndividUAl Giving More Appropd"te Box Cash, Check,

Dnt.e of ContrIbutor Than $150 LOlln or Cnllh Chcd~ LnDn OCller

Other Receipt

Linda Marmie 7/28/08 136 NE 20th Ave. $100,00


HCA Kansas Good Government Hospital group/medical 7/28/08 Fund 550 N Hillside industry $300.00

Wichita, KS 67214

Pfizer Inc. Corporation/ 7/28/08 7300 W 11 Oth 81. 7th Floor pharmaceutical industry $300.00

Overland Park, KS 66210

Security Bsnefit PAClinsuranc::e industry $500.007128/08 One Security Benefit Place

Topeka,KS 66636-0001

Sharon Mauler $100,007/28/08 3608 22nd Street


Martin Tractor Company Inc. Corporation/Wholesale 7/28/08 Distributor1737 SW 42nd $250.00

PO Bo)( 1698 Topeka,KS 66601

NRA Political Victory Fund PAC/lobbying Industry 11250 Waples Mill Rd.7-28-08 $500.00 Fairfax, VA 22030-7400

Banker/banking industry John Discus $300.007/28/08 3149 SW 15th St.

Topeka, KS 66604

Koch Industries Inc. Corporation/Energy 7/28/08 industry4111 E 37th St, North $500.00.f

Wichita,KS 67220

Kansas Motor Carriers Truck PAC/transportation 7/28/08 $250.00PAC PO Box 2458 Industry

Topeka, KS 66601

Union Pacific:: RailroC1d Company/transportation Industry7/28/08 1400 Douglas Street $500.00.f

Omaha, NE 68179

$3,600.00 .', . . . ' .... '..

PAGE OS/2210/24/2008 13:15 15205855427

SCH_EDULEA CONTRIBUTIONS AND OTHER RECEIPTS

Ruth Teichman

(N~Jnc ofCnndidntc)

_ Occupation & Industry of Chccl( Amount of N:>.me nnel Address Individual Giving More Appropdate Dox Cash; Check,

J) ~ tc of Contributnr Thall $150 Lllan or enjlh CIIQc1, Lnnn Olhcr

Other Receipt

Harvey Sorenson 7/28/08 1551 N WaterfrontPkwy $100.00

Ste. 100 Wichita,KS 67206

H.M. Boys Agency Inc. 7/28/08 PO Box 1648 $100.00


Kansas Automobile Dealers PAC/automobile industry 7/28/08 Assoc. 731 S. Kansas Ave. $200.00I

Topeke, I<S 66603

Stlnson,Morrison, Hecker LLP 112 Lawyers/Legal industry 7/28/08 $175.00

Ste. 550 Overland Park,KS66210

Judy DeWeese 7/28/08

Corporate Woods 10975 Benson

$100.00 Cunningham, KS 67035

George E Burkett III 7/28/08

2655 SW 120 Avenue

$100.00 PO Box 375 Kingman, KS 67068

Roland Belcher 1930 Sherris Lanli>

1040 W Wallace

$100.00 Kingman, KS 67068

7·28·08

Corporation/Financial 7/28/08

Dollar Financial Group, Inc. $500.00

Blaine, Washington 98230

American Family Insurance

industryPMB 3500 250 H St.

PAC/insurance industry 7/28/08 1300 SW Arrowhead Rd. $500.00

Topeka, KS 66604

A & L Farming Inc. 8/1/08 $100.00

10161 CC Rd. Pratt,KS 67124

Clara Martin 8/1/08

Allen Scllnittker

501 West F Avenue $100.00 Kingman, KS 67068

{

$2,075.00

FNE mHAN PAGE OS/2210/24/2008 13:15 15205855427


Ruth Teichman

(Name ofCandidntc)

l) ~ te

N"me :lOci Address of Cont,rlblltor

Otcupllrloll & TnduRtl'y of

Tndlvldllnl Gillin!;: M orc

Th"n $150 t: Jl.~h

Check Approprinte no;.

Ch(,~k lnnn Oth t':t'

Amollnt or Cash, Chec!<,

Lonn Or

Ot.her Receipt

8/1/08 Pauline McManaman 1017 West 8th Street Pratt, KS 67124

.; ~

$25.00

8/1/08 Phil Ruffin PO Bo)( 17087 Wichita, KS 67127

Developer/real estate

.f $400.00

8/1/08 American Century Services Corp. 4500 Main st. Kansas City, MO 64111

Investment corp.lfinancial industry .f , $250.00

8/1/08 Enterprises Rent~A-Car Company 600 Corporate Park Dr. S\. louis, MO 63105

PAC/automobile industry

~ $500.00

8/1/08 Kansas Wine &. Spirits 212 SW 8th St. #202 Topeka, I(S 66603

PAC/wine industry

./ $250.00

8/1/08 Desco Coatings, Inc. PO Bo)( 2658 Olathe, KS 66063

Flooring Company/industrial sector ~ $250.00

8·1·08 Check Into Cash of Kansas LLC PO Box 550 Cleveland, TN 37364

Financial Industry .; $1,000.00

8/1/08 Kansas Assoc. of Homes & Services for the Aging 217 SE 8th St. Topeka, KS66603

Healthcare industry .; $250.00

8/1/08 Everest Connections, LLC 9647 Lackman Rd. Lenexa, KS 66219

Telephone,cable company/telecommunicat ions industry

./ $250.00

8/1/08 I<ansas Healthcare Assoc. 117 SW 6th Ave. St. 200 Topeka, KS 66603

PAC/Healthcare industry

~ $200.00

8/1/08 Merlin Grimes 2600 Cant<llrbury Lane Great Bend, KS 67530

Cattleman/agriculture sector ~ $250.00

" , "'» .,. '.'

· '." ....: · .... ':':;::,::",:',,:,· i:··

:(~:

,~,;.;',::;:;::?':

:~S;::::::":n:::::::!:; $3,625.00

PA'3E 07/2210/24/2008 13:15 15205855427 F~~B INHAN


Ruth Teichman

(N~mc of Candidntc)

Dat.e Nllmc and AddreH

of Contributor

Occupation &. I.nrlmlTY of

Individual Giving More Thnn $150

Cnl9h

Chet:k Approprillte Box

Cheelc Lnnll Otht!r

Amount or Cnsh, Chet:k,

LOllo 01'

Other Receipt.

8/4/08 Bridges, Inc. PO Box 823 Newton, KS 67114

$100.00

8/4/08 Venture Corporation PO BoX 1486 Great Bend, KS 67530

Construction Company/transportation industry .

$500,00

8/4108 Mary Lou Reece 2441 Plumthlcket Ct. Wichita,KS 67226

Construction contractor· { $200.00

8/4/08 Casey's General Store PO Box 3001 Ankeny, Iowa 50021-8045

Company/retail sales { $500.00

8/4/08 Mark Hornbaker 969 NE 70th St. Stafford, KS 67578

$110.00

8/4108 Ebert Construction Co, Inc. PO Box 198 Wamego, KS 66547

{ $100.00

Hr;)cl(r;:rt Con:otructlon Co. Inc. 746 E 520th Ave Pittsburg, KS 66762

$100.00

8/4/08 BS<:lchner Construction Co, Inc. PO Box 128 St. Paul, I(S 66771

$100.00

8/4/08 Klaver Construction Co, Inc. PO 80x 272 KingmOln, KS 67068

$100.00

8/4/08 The Koger Agency, Inc PO Box 4587 Topeka, KS 66604

$100.00

8/4/08 Dustrol Inc, PO Box 309 Towanda, KS 67144

$100.00

$2,010.00

10/24/2008 13:15 15205855427 PAGE 08/22

Ruth Teichman

SCHEDULE A CONTRlBUTlONS AND OTHER RECEIPTS

(N arne of C!l.ndidnte)

Occupat.ion & Tndll~try (If Check Amount of

Dl\rc

Name and Addrc~~

of Cnntrihutn .. Tndividual Giving .M ore

Thall $)50 Appropriate Box Cll~h, Check,

LUlin Of

Other lhcl!iptC.,h Cho<k Lonn Other

8/4/08 SheM'ood Construction Inc. 8:219 W. May Wichita. KS 6713

./ $100.00

8/12/08 Craig Naeland 3707 Meadowlark Great Bend, KS 67530

./ $60.00

8/12/08 Dr. or Mrs. W.C. Randle 901 Pinebrooke Ct Norman, OK 7307;2 .

r

./ $100.00

8/12/08 DCP Midstream 370 17th Street Ste. 2500 Denver, CO 80202

Gas gathering company/ natural gas industry ./ $300.00

8/25/08 Stan Stark 371 NW 10th Ave. Pratt, KS 67124

./ $50.00

Kansas Assoc. of Realtors PAC/real estate industry 8/25/08 3644 SW BUrlingame Rd. ~ $1,000.00

Topeka,KS 66611

8-25-08 Farmers Employees and Agents 8018 W. 113th Terrace Overland Park, KS 66210

PAC/insurance industry

./ $1,000.00

8/25/08 Advance America 135 N. Church S1. Spartanburg, SC 29306

loan buslnesslfinanclal industry .; $1.000,00

8/25/08 Dwilette B. Paulsen 143 SE 140th Ave. Stafford. KS 67578

Housewife/farming industry ./ $200_00

8/25/08 Midwest Energy Inc_ 1330 Canterbury Hays, 1<5 67601

Company/energy sector .; $200.00

8/25/08 Merck & Co. Inc. PO Box 4 West Point, PA 19486-0004

Corporation/ Pharmaceutic! industry .;

~

$200.00

. . , - .

, .

Sllbtot~J-thlsPll~e .

.. ._.

: .~: . . . . .. ,

$4,210.00

Page __~ of~J.

10/24/2008 13:15 15205855427 FNB INHAN PAGE 09/22

Ruth Teichman

SCHEDULE A CONTRIBUTIONS AN.D OTHER RECEIPTS

(Name ofCnndidntc)

Oate Name lind Address

of Contributor

Occupation &. Industry of Jndividlllll Giving More

Than $150 C"""h

Chetk Approprinte Box

ChC'c:k Lnn.n OLller

Amount of ClIsh~ Check,

Loan or Othu Receipt

8/25/08 Susan Schrepel 913 W. 3rd Pratt. KS 67124

.; $75.00

9/8/08 American Health Insuranoe Plans 601 Pennsylvania Ave.NW Ste.500 Washington,DC20004

PAC/Insurance industry

.f $500.00

9/8/08 Kansas Republican Senatorial Committee PO Box 2663

.Topeka,KS 66601

Senatorial Committee/Political .; $1,000.00

9/8/08

9/8108

9/8/08

9-8-08

The Boeing Company PO Box 7730 Wichita,KS 67277

Kansans for Lifesaving Cures PO BO;Jl; 394 Topeka,KS 66601

Kansas Hospital Association 215 S.E. 9th Ave. Topeka,KS 66603

Kansas Hospital Association 215 S.E. 9th Ave. Topeka,KS 66603

Company/Aircraft indLlstry



PAC/Healthcare Industry

./

.;

.f

.f

$200.00

$500.00

$500.00

$500.00

9126/08

9/26/08

9/26/08

9126/08

The Kansas Contractors Assoc.lnc. 316 SW 33rd St. PO BO;Jl; 5061 Topeka,KS 66605

Kansas National Education Assoc. 715 West 10th Topeka,KS 66612

Kansas Insurance Agents 815 SW Topeka Blvd. Topeka.KS 66612

Kansas Bal1kers Association 610 SW Corporate View Topeka, KS 66604

...

.. SiJbtcitulTbl~'PR~~ • .-

PACrrransportation industry

PAC/Educational industry


PAC/Banking industry

..

.f

./

./

.; ":',""

. ~ ........... ..<'.,

$1.000.00

$1,000.00

$500.00

$500.00

$6,275.00

PS.gC10f JJ.

10/24/2008 13:15 15205855427 FNB IN/YlAN PAGE 10/22

SCHEDULE A CONTRIBUTIONS AND OT.l.JER RECEIPTS

Ruth Teichman

(Name:: of Candidate)

Date N lime nlHI Address

of Contributor

occupatinn & rnrlustty or Individual Givinl!l Mnrr:

Thnn $150 en.1I

Check Approprillte Box

Ch,.,c;It. LI)t'R Olhcr

AmOlll1t of Cnsh, Check"

Lnlltl or o th cr Receipt

9/26/08 Eli Lilly & Co. 2233 Lovell Court LeXington, KY 40513

Company/ Pharmaceutical industry ./ $350.00

9/26/08 Kansas Manufactured Housing Assoc. 3521 SW 5th Street Topeka,KS 66606

PAC/Housing industry

.f $100.00

9126/08 ITe Great Plains 1100 SW Wanamaker St6. 103 Topeka,KS 6604

Business/Energy sector

.f $250.00

9/26/08 Johnson & Johnson Services Inc. Box 16571 New Brunswick, NJ 08906

Corporation/ Pharmaceutical industry .f $300.00

9/26/08

9/7..5/08

10-8-08

AlA Kansas 700 SW Jackson Topeka,KS 66603

HSBC North America 26525 N. Riverwoods Blvd. Mettawa, IL 60045

Waf-Mart PO Bo;x 9805 Fayeneville, AR 72703

PAC/Architects

PAC/Financial industry

Company/Retail sales

.f

I

./

$100.00

$500.00

$400.00

10/8/08

10/8/08

QC Holdings, Inc:. 9401 Indian Creek Pkwy. Ste. 1500 Overland Par1(,KS66210

Koch Industries, Inc. PO Box 2256 Wichita,KS 67201

Financial Industry

Corporation/Energy sector

.f

.f

$750.00

$1,000.00

, .

10/8/08

10/8/08

Assoc. of Community Mental Health Centers of KS Inc. 720 JacksonSte.203TopekaKS66603

Heartland Community Bankers Assoc. 700 Kansas Ave. Ste.512 Topeka,KS 66603

t.' . .

. ..' SIIbto tilI'Ttiis l"a'ge . '.

PAC/Medical -


, .

·1.,

.f

.f

, . ..' , ... ,

$500.00

$150.00

$4,400.00

10/24/2008 13:15 15205855427 FNB INr"'Ar~ PAGE 11/22


Ruth Teichman

(NDme of Cl'Icdidalc)

Dlite Name and Address

of Contributor

OccuJlatitm & Illdlutry of Individual Givirtg More

Tllnn $150 c ..... ,.

Check Appropriate Bolt

Ch~(.h Lnan (,HI\l'Ir

Amount of Cn~h, Check,

LOlln or Other Receipt

10/8/08 Kansas Cooperative Council PO Box 1747 Hutchinson,KS 67504

.; $10000

10/8/08 Ex;o:on Mobile Corp. 1005 Congress Ave.Ste.90o Austin.TX 78701

Corporation/energy sector

./ $700.00

. 10/16/08 Natl. Assoc. of Ins.and Financial Advisor$ of KS 825 S.KS Ste.500 Topeka,KS 66603

PAC/Insurance industry .; $500.00

10/16/08 Blue Cross and Blue Shield of Kansas City One Pershing Square Box 419169 KC,MO 64141


.f $1.000.00

10/16/08 American Family Insurance 1300 Arrowhead Rd. Topeka,KS 66604

PAC/lnsuranceinduslry .; $1,000.00

10/16/08 Kansas Funeral Directors and Embalmers Assoc. 1200 S. KS Ave. Topeka,KS 66612

. PAC

.f $100.00

10-16-08 Downing-Nelson Oil Co, Inc. PO Box 372 Hays,KS 67601 .f $50.00

10/16/08 Damar Industries Inc. PO Box 70 Hays,KS 67601

.; $50.00

10/16/08 Express Wells Service & Supply Inc. 1110 Highway 40 PO 19 Victoria,KS 67671

.f $25.00

10/16/08 Community Bankers Assoc. 3003 SW Van Buran Ste. A Topeka,KS 66611


.f $300.00

10/16/08 Cox CommunicatIons 1400 Lake Hearn Dr. NE Atlanta, GA 30319

Refund for overpaid invoice .; $31.21

-.'

..... SUbfiltllITltls;Pll(tC: .'

.. ..

. ,

- , .. "

.. "

' .. ,

' .

.

$3,856.21

PllgclQof~1

10/24/2008 13:15 15205855427 FNB INMAN PAGE 12/22

Ruth Teichman

SCIIEDULEA CONTRIBUTTONS AND OTHER RECEIPTS

(Name ofCanc;lidAlc)

Datil Name allll A.ddre55

of Contributor

Occupation & Industry of Jndivldulll Glvln!: More

Thlln $150 Cn.h

Chel;k Appropriate ,BQ:'I:

Chc:c.'k .... n..' 00\1)"

Amount of Cllsh, Check,

LO<ln or Other Receipt

10/20/08 Kansas Land Title Assoc. 434 N. Main Wlchlfa,KS 67202

PAC/Mortgage industry

./ $225.00

10/20/08 K12 Management Inc. South Point II 2300 Corporate Park Hemdon, VA 20171

Corporation/Educational Industry .f $250,00

10/20/08 Kansas Speedway 400 Speedway Blvd. Kansas City. KS 66111

Companyffourlsm industry .f $250.00

10/20/08

10/20108

Philip Morris USA Inc. 1005 Congress Ave.Ste.850 Austln,TX 78701

Allstate Insurance Company 10800 E. Geddes Ave.Sle.300 Englewood.CO 80112

Made by its service , CO.Altria Client Services CorplTobacco Industry


./

./

$500.00

$1.000.00

10/20/08

10-20-08

Blue Cross and Blue Shield of KS 1133 SW Topeka Blvd Topeka,KS 66629

SITA/RtMC Independent T19lsphone Co. 823 W 10th St. Topeka,KS 66612

Corporationllnsuranee industry

PAC

./

, $1,000.00

$100.00

10/20/08

10/20/08

Asociated General Contractors of Kansas 200 SW 33rd Topeka.KS 66611

Carmen Schmitt Inc. PO Box 47 Great Bend, KS 67530

PAC/Industrial sector

Corporation/Oil industry

.f

.f

$500.00

$300.00

10/20/08 Axcess Financial Service Inc. 5155 Financial Way Mason. Ohio 45040

Company/Financial industry .; $500.00

10/20/08

'. ' "

Anderson Financial Servic~ LLC DBA Loan Max LM1 GB 600 S. Broadway Salina,KS 67401

, '.,sub'totriJ:rIiISj·li~e '

" '

Company/Financial industry

"

' '

.; ,,': ....,.

',' .' ::'~;' ','

'" " - , '

. ,'."

$500.00

$5,125.00

pngcJlof~

10124/2008 13:15 15205855427 PAIC,E 13/22

Ruth Teichman


(Name of Candidate)

Occnpl1tlon & I.ndustr~ of Check Amollnt. or lnrlivilhull Giving MoreName find Address ApPl'"opriate BOll: Cn~h, C beck,

Dli tc Than $150 Loan orof Contributor Cl\cc:1c o (hl.'\l'"Cn"h "nn~ Other Receipt

American Insurance Assoc. PACllnS!Jrance industry 10/22/08 1130 Conneticut Ave. NW $500.00.f

Ste.1000 Washington,DC 200361

Commerce Bancshares Inc. PAC/Financial industry 10/23/08 $250.008000 Forsyth Blvd .f'

St. Louis, MQ 63105-1797

Kansas State Farm Agents & PAC/Insurance industry 10/23/08 Employees 555 S.KS Ave. $400.00.f

Ste.301 Topeka,KS 66603

Preferred Life Systems Inc. Corporation/Insurance $500.0010/23/08 industry8535 E 21St North {

Wlchita.KS 67206

Entertainment Software Assoc. Entertainment industry . $250.00.;10/23/06 575 7th S1. NW Ste.300 Washington,DC 20004

Kansas Chiropractic Assoc. PAC/Medical industry 10/23/08 1334 SW Topeka Blvd $250.00.;

Topeka,KS 66612

... , '..... ",

1,:' $2,150.00,",SII btotRl TbisPn gti

.'

" ... ..,.

10/24/2008 13:15 15205855427 FNB INHAN PAGE 14/22

SCHEOULE A CONTRIBUTIONS ANI) OTHER RECEIPTS

Rulh Teichman

(N:11l1L ,)rClIr"Jidul.~)

On:,.plllio'l & Induslry (If Checl( Arn""nl' "r NlIrl\~ " .. <.I Acldr~ss In<1j\lidunl GI~illg Mort: Appr"pl'iale Box ellsh, Ch"",k,

pn I (' "r e" n I'rih II to r Thllil $ISII . I.uan fl'" (: A(II Chlod.. I.lln rt 11111t'r

Other I{~(",ipl

--, . ..-.

...

S'lhtotal Thi~ Pngc $0.00

Complete if last page of Schedule A

Total ItLlll i1.Ld R(;"dpt~ 1",,' raic,tJ $38,476.~1

1- ~-"---'-.......-._-_......- ...._----_..

Tou11 l.lnitLOmi",LOd C"nlriMul.i"n, ($SO or iL:ss)

Silk 01' P"liliclll Malcrials (LJniI.LOmi>:cd)

T()l';11 (:(lI"Tibtlli(lll~ Whell (:/)llrrilHltOI' NOI' K nnwil

TOTAL RECEIPTS THIS PERIOD (to lillc 2 of Summary) $38,476.21

. PA'3E 15/2210/24/2008 13:15 15205855427 FNB INlvlAN

SCHEDULEB IN-KIND CONTRIBUTIONS

Ruth Teichman

(N lime of C3ndidatc)

Nnmc nnd Addrcs~

of Contributor

LIst Occupntion &

TI1(!Jlstry for Those GIving :'III In-J{lnd ofMorcThnn

$150

DCRcription of In-Kind Contrihution

Va h. c 0 f In-Killcl

Contributil.ln

7/28/08 Ralph and Lisa Lilja 16585 SW 90 Avenue Zenda, KS 67159

Restaurant business r

Fundraiser event $400.00

8/1/08 The Pelican PrGlSS

2411 120th Ave Larned, KS 67550

Ad in The Pelican Press 2 x 8 $107.68

8/18/08 CL & Susan Miegs 20400 SE Grandview Pratt,KS 67124

Fundraiser in Pratt $112.36

8/18/08 Phil & Kathy Shrack 100226 NW 10th Avenue luka, KS 67066

Fundreiser in Pratt $112.36

8/18/08 Dr. Jim & Mary Ann Van Blaricum 10481 Lake Rd. Pratt, KS 67124

Fundraiser In Pratt $112.36

8/18/08 Bill & Cindy Keller 302 Lake Rd Pratl,KS 67124


8/1 8/08 Mark & Lisa Fincham 20145 Lake Rd Pratt, KS 67124


. 8/18/08 Mike & Ruth Lewis 422 Lake Rd Pratt,KS 67124

Fundraiser in Prett $112.36

8/18/08 Kelly & BOlrbara MElson 1104 Sunny Lane Pratt, KS 67124


$1.:294.20

Complete if Inst page of ScJlcdule B

Toral Itemized (OVOI' $100) In-Kind Contributions

Tonti Unit~mizccl ($100 or Ic~o) In-Kind Contriburions

$0.00

/2210/24/2008 13:15 15205855427 FNB INHAN

SCHEDULE B IN-KIND CONTRIBUTJONS

Ruth T0ichman

(Nome ofConclidiltC)

Dn te Nnme and Address of Contributor

List Occupntion &

Industry for Those Giving on In-Kind M More Than

$150

Descriptron of In-Kind Contribution

V,lIl1e of 'n-Klnd

Cunt.rlblltlon

8/18/08 Ken & Annette Van Blarlcum 415 Belmont Rd Pratt,KS 67124

Fundralser In Pratt $112.36

8/18/08 Gary & Alice Eppler 10250 Country Club Rd Pratt, KS 67124


8/18/08 Frank & Brenda Moore 906 E 15t Street Pratt, KS 67124


8/18/08 Darrell & Irene Shumway 450 SE Park Hills Dr. Pratt, KS 67124


$449.44

Complete if last page of Schedule B

Towllt.cmized (over $1 00) In-Kind Contributions

Totol UI\itemizcd (.'Ii 100 or les~) In-Kind COl1tribulion~

743 64

10/24/2008 13:15 15205855427 FNB INrvlAN PAGE 17/22

SCHEDULE C EXPENDITURES AND OTHER DISBURSEMENTS

Ruth TEJichman

(Nilme of Candidate)

{'11 ..pose of Expenditure N;tme nnd Address Dr Olsbursement Amount

Letterhead, printed materials, mailers and Golden Belt Printing Inc. $9,613.077/28/08 postage1125 US Highway 281 Bypass

Great Bend,KS 67530

Kingman County 4-H 4-H Auction $570,007/29/08 125 N, Spruce

Kingman, KS 67068

KSN 'TV ads $250.757/30/08 833 N Main

Wichita,KS 67203

StOln Reimer Print framing $228.757/31/08 403 S Main

Pratl,KS 67124

KFRM-AM Radio Ads for County Fair $200.008/1/08 1815 Meadowlark

Clay Center, KS 67432

Star Communications Corp. Ads $252.0081?!08 115 W. 5th St.

larned, KS 67550

The Anthony REOlpublican Ads $694.808/2/08 121 E Main

Anthony, KS 6700B

U,S, Post Office Postage $126,008/2/08 108 N, Main

Stafford, KS 67578

Kiowa News Ads $333,008/2/08 614 Main

Kiowa, KS 67070

The Clark County Clipper Ads 8/2/08 PO Box 457 $312.00

Ashland, KS 67831

AdsICunningham Courier $351.758/2/08 209 E. First

Cunningham, KS 67035 1

$12,932,12

10/24/2008 13:15 15205855427 FNB IN1vlAN PAGE ·18/22

SCHEDULEC EXPENDITURES AND OTHER DISBURSEMENTS

Ruth Teichman

(Name ofCnndidlltc)

Purpose of Expenditure or DIsbursementName and Addrc~$ Amount

Radio Ads KPAK Radio $324008/2/08 1310 Main

Kiowa, KS 67070

Twilight Productions Inc, Radio Ads $175.008/3/08 PO Box 4121

Topeka,KS 66604

Barlon County Clerk Advance voter list 8/3/08 $27.221400 Main


Gyp Hill Premiere/Noland Printing Print Ads $236.258/4/08 110 North Main

Medicine Lodge, KS 67104

Edwards County Sentinel Print Ads $348.758/4/08 218 Easl6th

Kinsley, KS 67547

Gilly's Liquor Liquor 8/5/08 $108,04291 N. Hwy. 281

St. John, KS 67576

The Attica Independent Ads 8/7/08 $288,00PO Box 413

Attica, KS 67009

The Harper Advocate Ads 8/7/08 $311.4DPO Bo,", 36

Harper, KS 67058

Kingman Leader Courier Ads $515.648/11/08 140 N Main

Kingman, KS 67068

Cornerstone Strategy & Communications LLC Voter ID and poll cards 6901 Okeechobee Blvd. #K-2 8/11/08 $4,643.00 West Palm Beach, FL 333411

Twilight Productions Radio Ads 8/12/08 $200.00PO Box 4121

Topeka,KS 66604

$7,177 .30

10/24/2008 13:15 15205855427 FNB INHAN PAGE 19/22

SCHEDULE C EXPENDITURES AND OTH.ER DISBURSEMENTS

Ruth T<;lichm"ln

(N:l111C of Candidote)

PlJrpo~e of ltxpenoiture rH' Di~bur~"ment Amount

8/18/08

8/18/08

8/28/08

9/2/08

9/2/08

9/2/08

9/2/08

9/2/08

9/10/08

9/17/08

10/8/08

INTRUST Card Center PO Box 1242 Wichita,KS 67201

Usa Fincham 20145 Lake Road Pratt, KS 67124

Noland Printing/Gyp Hill Premiere 110N.Main Medicine Lodge, KS 67104

Protection Press PO Box 567 Protection, KS 67127

Western Star PO BOI< 518 Coldwater,KS 67029

Pratt Tribune PO Box 909 Pratt,KS 67124

Western Star 113 S Central Coldwsler,KS 67029

Cox Media PO Box 849990 Dallas,TX 75284

KMMM-AM 30129 E. Hwy. 54 Pratt. KS 67124

I

Kansas Capital Store Historical Society 6425 SW 6th Avenue Topeka,KS 66615

The Stafford Courier 114 E Broadway Staf'ford.KS 67578

Credit card bill for radJo and TV ads

Election night food and paper goods

Print Ads

Ads

SUbscription

Subcription

Ads

Ads

Radio Ads

Sundries

Ads

$4,467.61

$264.32

$110,25

$337.50

$21.26

$44.00

$309.75

$307.50

$404.25

$240.00

$428.47

$6,934.91

10/24/2008 13:15 15205855427 FNB INrv1AN PAGE 20/22


Ruth Teichman (Name ofC,'ndid3tc)

Purpose of Elip"ndit\lre On tc Name and ;\ddress nr Disbursement Amount

The Pratt Tribune Subcrlptlon 10/8/08 $55.00PO Box 909

Pratt, KS 67124

Ruth Teichman Trust RefUnd loan 10/16/08 $12,000.00434 E Old Highway 50

Stafford, KS 67578

Ruth Teichman Refund of mileage expense during 10/16/08 $3,016,87434 E 010 Highway 50 campaign

Stafford, KS 67578

Ruth Teichman Refund 2003 mail and post~ge expense 10/17/08 $632.03434 E Old Highway 50

Stafford, KS 67578

Ruth Teichman Refund 2003 print and mailing expenses $966.1010/17/08 434 E Old Highway 50

Stafford, KS 67578

Ruth Teichman Refund 2003 print and maillng expenses ....,-10/17/08 434 E Old Highway 50 $250.00

Stafford, KS 67578

Ruth Teichman Refund 2004 print and mailing expenses 10/17/08 434 E Old Highway 50 $90.29

Stafford, KS 67578 I

Deffenbaugh Industries .Refund for over contribution 10/21/08 PO Box 3374 $500.00

Shawnee,KS 66205

Kansas National Education Assoc. Refund for over contribution $750.0010/21/08 715 SW 10th

Topeka, KS 66604

$18,260.29

10/24/2008 13:15 15205855427 FNB INrY1AN PAGE 21/22


Ruth Teichman

( Nome 'If Cftnc:lidl.1te)

Purpose or Expenditure AmountNnme ;mel Address or DisbursementDate

Star Communlcations Corp. Print Ads 9/10/08 $110.25115 W 5th

Larned, KS 67550

The Attica Independent Ads 9/10/08 $45.00PO Box 413

Attica, I<S 67000

The Harper Advocate Ads 9/10/08 PO Box 36 $52.50

Harper,KS 67058

Pratt Tribune Ads 9/13/08 $111.20320 S Main

Pratt, KS 67124

$318.95

Complete if last page of Schedule c

Tot~1 ltcrnizcd Expenditurcs This Pcriod

Tot~1 Uniremized Expenditures of $5001' less

$45,623.57

$45,623.57

/221520585542710/24/2008 13:15

SCHEDULED OTHER TRANSACTIONS

Ruth Teichman

r N"mc of Candidate)

U'llnncc at D~tc Nnme llnd Address Nat.ure of Account or Lonn l'llyablc Close of

or r..,Dan RccelVl1blc PerIod

Complete if last page of Schedule T)

$0.00

10/24/2008 13:15 15205855427 FNB...

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